2020
DOI: 10.1007/s00405-020-06180-8
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Nasal reconstructive surgery for vasculitis affecting the nose: our two-centre international experience

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Cited by 7 publications
(15 citation statements)
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“…Surgical treatment of nasal deformities is done after a long period of remission. It includes the insertion of the silastic button and reconstruction of the dorsum of the nose with costal cartilage [19] .…”
Section: Discussionmentioning
confidence: 99%
“…Surgical treatment of nasal deformities is done after a long period of remission. It includes the insertion of the silastic button and reconstruction of the dorsum of the nose with costal cartilage [19] .…”
Section: Discussionmentioning
confidence: 99%
“…The surgical results obtained in this study are comparable with those reported in other series. 2 , 3 , 7 , 10 , 19 , 29 , 39 Rhinoplasty in the presence of an autoimmune disorder such as GPA can be successful in restoring structure and cosmesis to the nose as well as in improving breathing. The operation is fraught with an increased complication rate due to the impaired blood supply caused by the vasculitis, the hypercoagulable state that is inherent in GPA and the immune modulating medications that patients are usually on.…”
Section: Discussionmentioning
confidence: 99%
“…The mild to moderate saddle deformity (type I and II) with minimal or no foreshortening of the nose will result in a better cosmetic and functional result than that attainable in more advanced cases. 29 The timing for surgery is of paramount importance. In general, patients undergoing surgery must be in a sustained remission for 6 months or more or on a stable low-dose maintenance immunosuppressive regimen.…”
Section: Introductionmentioning
confidence: 99%
“…In our systematic review and meta-analysis, 16 studies were conducted on nasal reconstruction in individuals diagnosed with GPA in 6 different countries, including ~136 patients; their ages ranged from 21 to 56 years. 12,14,16,[18][19][20][28][29][30][31][32][33][34][35][36][37] Study designs encompassed 7 case reports, 5 retrospective cohort studies, and 4 case series. The duration of follow-up across the studies varied from 1 to 15 years.…”
Section: Characteristics Of the Included Studiesmentioning
confidence: 99%